Category: KevinMD

Pain care must be patient-centered, integrated, and individualized

Purdue Pharma recently ran a full-page advertisement in the Wall Street Journal and the Washington Post asserting that the company, which manufactures prescription opioids, wants to limit the use of prescription opioids. While this ad may have left some readers confused, one point rang true: “we believe the country needs a new approach to prescribing […]

It’s time for hospitalists to be engaged with opioid use disorders

Alvin is a 42-year-old man who was never really given a chance. His parents both had severe alcohol use disorder. At age 12, his parents encouraged him to skip school to sell marijuana in order to fund their drinking. As his parents began using various illicit drugs, Alvin started selling larger amounts of marijuana to […]

Is wellness getting a bad rap?

Let’s face it, “wellness” isn’t going to go away despite some of the backlash. In my opinion, wellness is at the intersection of science, medicine, and health. Simply, wellness means health and happiness. No matter where you are on your health journey, you can achieve your wellness goals which can help you live a healthier life. […]

4 tips for starting a budget in residency

A budget is a guide that helps you increase your awareness of where your money is going and how much you are saving. It’s important to develop a budget early on as part of a strong financial foundation. It’s a common misconception that budgeting gets easier when you have more money. As the rapper Notorious […]

We need brave voices to tell stories of medical error

What is evidence? How do we gather evidence of patient harm? More importantly, what is the evidence that counts? A research paper dating back to 2004 suggests that besides research evidence, clinical and patient experiences, as well as contextual information also constitute evidence. However, the only currency of science is data collected through systematic and rigorous […]

Sepsis awareness: Should there be different awareness goals for the young and the old?

Sepsis, the body’s self-destructive inflammatory response to severe infection, is the leading cause of death in U.S. hospitals, particularly among the elderly. It starts as mild sepsis, advances to severe sepsis, and all too frequently blossoms into septic shock. More than 1.5 million Americans get sepsis each year. More than 250,000 die of the illness. One […]

Primary care pediatrics is more than medicine : It is a calling

I have been working in pediatric primary care for nearly 5 years post-residency and truly love my work. I currently am dealing with very painful post-herpetic neuralgia and many people with this quit working. At some personal cost, I have continued my practice because I find my work day so rewarding I simply can’t imagine […]

The effect of private equity in medicine

The landscape of health care has changed nearly beyond recognition in the past decade. If you’re a veteran of the profession, you’ve seen the other side of things — you once had the chance to live the dream, to swim in the pool of autonomy and self-employment, to call the shots and act on behalf […]

How medical societies can save American medicine

American medicine is in trouble, and the men and women who run our country’s medical societies are just the ones to save it. Think about the trouble, the confusion, the upheaval. Some call it reform. Some call it progress. Some call it just more damn, unnecessary change. Health care is such a politically volatile phrase […]

Maybe men should have their salary reduced to the lowest paid female physician in their practice

Recently, a male physician made public a common, inaccurate, and appalling opinion: Women are paid less, because they don’t want to work hard. The comment, in the September issue of the Dallas Medical Journal, asserts that women are paid less, because they see fewer patients. This is because women physicians “choose to or they simply […]